title: Reconstruction of a large external hemipelvectomy defect after chordoma resection using a 5-component chimeric rotational flap.
abstract: Management of complex lumbosacral neoplastic disease presents unique challenges and requires a multidisciplinary approach. Large pelvic tumors may require external hemipelvectomy where an entire lower extremity including the hemipelvis is removed with disarticulation of the sacroiliac joint and symphysis pubis. When external hemipelvectomy is performed, the reconstructive surgeon must consider osseous reconstruction for structural pelvic support, the elimination of dead space, protection of implanted hardware, intra-abdominal support, and skin coverage. Reconstruction must minimize wound healing morbidity, operative time and the number of operative sites, and maximize the potential for rehabilitation. We present a case demonstrating use of a rotational chimeric flap for the reconstruction of an external hemipelvectomy defect.
authors.affiliation: From the *Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Nebraska Medical Center, Omaha, NE; Departments of †Plastic Surgery and ‡Neurosurgery, Wexner Medical Center at the Ohio State University, Columbus, OH.
authors.forename: Frederick
authors.initials: F
authors.lastname: Durden
authors.forename: Duane
authors.initials: D
authors.lastname: Wang
authors.forename: Ehud
authors.initials: E
authors.lastname: Mendel
authors.forename: Pankaj
authors.initials: P
authors.lastname: Tiwari
mesh_terms: D002817:Chordoma / Q000601:surgery*; D006428:Hemipelvectomy; D006801:Humans; D008297:Male; D008875:Middle Aged; D010386:Pelvic Neoplasms / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps